FIELD: medicine, ophthalmology.
SUBSTANCE: one should perform incision for access into anterior chamber being perpendicular to strong meridian, detect the disposition of IOL supporting elements to perform paracenthesis from the side of more remote supporting element against the incision, separate posterior synechia, IOL and capsular sac should be removed as a single block. Through paracenthesis with an instrument by making efforts to lenticular body in direction from paracenthesis one should replace the lens together with a sac should be shifted in horizontal plane by leaving fibers of zonule of Zinn along the both sides against the area of paracenthesis projection. Due to going on the movements of an instrument but in back direction one should apply the sac's segment onto the iris. Through incision with the help of an instrument one should make efforts to the second supporting element at the site of its fixation with optic part by performing rotation of supporting element in horizontal plane, first, towards the incision side for 80-110°, and then in back direction. One should bring the first supporting element towards incision where it should be captured with instruments to withdrawn. Then comes vitrectomy. The method enables to shorten the time for operation and decrease its traumatism due to IOL removal together with capsular sac as a single unit, decrease the chance of endophthalmitis relapse and post-operational astigmatism.
EFFECT: higher efficiency of therapy.
1 cl, 2 ex
